Provider Demographics
NPI:1568037646
Name:LG HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:LG HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILY
Authorized Official - Middle Name:ANNA
Authorized Official - Last Name:GALSTYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-239-2888
Mailing Address - Street 1:8138 FOOTHILL BLVD STE 250A
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2994
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8138 FOOTHILL BLVD STE 250A
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2994
Practice Address - Country:US
Practice Address - Phone:818-239-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based